Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $47.86	Professional		$23.99	$33.88	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $95.50	Facility		$57.54	$57.54	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $53.70 / $64.57	Professional		$47.86	$53.70	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $177.83 / $281.84	Facility		$33.88	$177.83	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $81.28 / $109.65	Professional		$28.84	$81.28	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $47.86 / $81.28	Facility		$27.54	$47.86	$81.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $134.90	Professional		$51.29	$109.65	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $56.23 / $263.03	Facility		$32.36	$56.23	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $64.57	Professional		$23.99	$28.84	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $151.36	Professional		$57.54	$87.10	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $114.82 / $269.15	Facility		$33.88	$114.82	$269.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $61.66 / $281.84	Professional		$28.84	$61.66	$281.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.99 / $36.31	Facility		$21.88	$23.99	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $45.71	Professional		$18.62	$28.18	$45.71